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ppt课件-femalegenitalcuttingalteredanatomydeinfibulationwhat.ppt

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ppt课件-femalegenitalcuttingalteredanatomydeinfibulationwhat

FGM: Definition and Associated Health Problems Sarah Creighton MD FRCOG Consultant Gynaecologist University College London Hospitals FGMWHO Definition 2008 All procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. 3 million girls in Africa undergo FGM each year 100 to 140 million women in Africa live with the consequences of FGM FGM in the UK Increasing numbers of asylum seekers and economic migrants from areas of Africa where FGM is practised. Can live anywhere in the UK (1999 Immigration and Asylum act) 66,000 women in UK have undergone FGM (2001 Census Figures). 22,000 girls at risk of FGM 1.4% of all maternities (2004) Statistical study to Estimate the Prevalence of FGM in England and Wales FORWARD 2007 Classification WHO 2008 Type I Partial or total removal of clitoris and, rarely, the prepuce Type II Partial or total removal of clitoris and labia minora with or without removal of labia majora Type III Narrowing of the vaginal opening through creation of a covering by cutting and repositioning the inner and sometimes outer labia with or without removal of the clitoris. Type IV All other harmful procedures to the female genitalia for non-medical purposes e.g. pricking, piercing, incising, scraping and cauterising the genital area Female Genital Cutting Type II Female Genital CuttingType III Immediate Complications WHO Systematic Review 2003 Death -no figures available Due to haemorrhage, neurogenic shock and septicaemia Haemorrhage Commonest complication 22% From clitoral artery Infection wound infection septicaemia tetanus and gangrene Immediate Complications Injury to other organs urethra rectum perineum vagina Urinary retention due to pain and swelling Pain Necrotising Fasciitis Following FGM. Age 7 Long Term Complications Failure to heal Recurrent abscess formation Dermoid/Inclusion Cysts Keloid Recurrant urinary infections Blood borne infections due to